鼻咽癌
医学
内科学
肿瘤科
临床终点
炎症
全身炎症
胃肠病学
病毒
病毒载量
爱泼斯坦-巴尔病毒
免疫学
随机对照试验
放射治疗
作者
Ya‐Nan Jin,Bao‐Qiu Liu,Kun‐Wei Peng,Xue‐Qing Ou,Wu‐Shuang Zeng,Wang‐Jian Zhang,Tia Marks,Ji‐Jin Yao,Liang‐Ping Xia
摘要
To assess the prognostic value of the systemic inflammation response index (SIRI) combined with plasma load of Epstein-Barr virus (EBV) DNA in children and adolescents with locoregionally advanced nasopharyngeal carcinoma (CALANPC).A total of 205 consecutive patients with CALANPC were enrolled. We used recursive partitioning analysis (RPA) to classify patients into various risk groups, with a primary endpoint of overall survival (OS).Elevated SIRI (≥1.53) and EBV DNA (≥4000 copy/ml) were significantly associated with inferior OS in CALANPC. RPA categorized patients into low- and high-risk groups based on prognostic factors. Survival curves showed excellent discrimination in OS (95.3% vs 77.6%; p < 0.001) between the low- and high-risk groups. A significant improvement was confirmed using the prognostic methods for conventional TNM staging systems (p < 0.05).The combination of SIRI with EBV DNA provided a more detailed understanding of patient risks, and enhanced risk discrimination in CALANPC.
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